| NPI | 1245772375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SENIKA RANADA CHANNELS Owner 614-506-2494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: OH 2357920) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: OH 2357920) |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2016-11-07 |